Individual
FORREST STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
404 WESTWOOD AVE STE 107, HIGH POINT, NC 27262-4316
(336) 887-3195
(336) 887-3194
Mailing address
2750 CHATHAM FARM RD, WINSTON SALEM, NC 27106-5868
(336) 414-9390
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001000748
NC
Other
Enumeration date
07/07/2013
Last updated
05/31/2019
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